2025 CPT code 93454
(unknown) Effective Date: N/A Medicine - Cardiovascular Feed
Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation.
Modifiers 22, 26, 51, 52, 59, 73, 74, 78, 79, 80, 81, 82, AS, GC, KX, LC, LD, LM, PD, Q6, RC, RI, TC, XE, XP, XS, and XU may be applicable.
Medical necessity must be established for coronary angiography, typically based on symptoms, diagnostic test results, or other clinical indicators suggesting coronary artery disease.
The physician prepares the patient, inserts a catheter into a peripheral artery under fluoroscopic guidance, advances it to the coronary artery opening, injects contrast material, obtains angiographic images, removes the catheter, and applies pressure to stop bleeding. The physician also supervises and interprets the imaging.
In simple words: The doctor looks at your heart's arteries using X-rays and a special dye to see if there are any blockages or narrowing.
This code represents imaging supervision and interpretation for a coronary angiography procedure where injections are administered to assess coronary artery disease or stenosis. It includes catheter placement in the coronary arteries, intraprocedural injections for angiography, and the physician's supervision and interpretation of the imaging.
Example 1: A patient presents with chest pain and shortness of breath, and coronary angiography is performed to assess for blockages in the coronary arteries., A patient with a history of coronary artery disease undergoes a follow-up angiography to evaluate the effectiveness of previous treatment., A patient is scheduled for bypass surgery, and angiography is performed to map the coronary arteries before the procedure.
Documentation should include the procedure report, details of catheter placement, injection sites, contrast used, angiographic images, interpretation findings, and any complications.
** Ensure proper documentation and coding guidelines are followed for accurate reimbursement. Consider payer-specific policies for medical necessity and coverage.
- Revenue Code: P2F
- Modifier TC rule: Modifier TC is applicable for the technical component.
- Specialties:Cardiology, Interventional Cardiology
- Place of Service:"Ambulatory Surgical Center", "Hospital Inpatient", "Hospital Outpatient", "Office"